ROTARY CLUB OF WEST OLYMPIA - Microsoft



WEST OLYMPIA ROTARY SCHOLARSHIP APPLICATIONApplications for Capital & Avanti High School Seniors, Due by March 15, 2021Personal Information and Permission___________________________________________________________________________Name (First, Middle, Last)___________________________________________________________________________Mailing Address___________________________________________________________________________High SchoolHome Phone___________________________________________________________________________Email Address (must be valid for the next two years for award purposes)____________________________________________________________________________Future College/University/etc. (1st Choice)Planned Course of Study/Major____________________________________________________________________________Future College/University/etc. (2nd Choice)Planned Course of Study/MajorI hereby give permission for the West Olympia Rotary Club and its designees to verify and share my son/daughter’s information for the purpose of eligibility for the West Olympia Rotary Scholarship.______________________________ ______________________________Parent/Guardian Signature Date______________________________ Parent/Guardian Name (please print)______________________________ ______________________________Student Signature DateAdditional Required DocumentsPlease email WORscholarships@ with following attached to the email in a single (combined) .pdf attachment:Completed Community Service Verification Form(s) (attached) for each organization where you completed service hours (min. 50 hours required during high school career).Letter of Recommendation (non-relative, member of organization where you completed service hours preferred).Completed Financial Information Form (attached) and copy of your FAFSA SAR (Free Application for Federal Student Aid, Student Aid Report). Please contact your counselor or the career counseling center in your school if you need assistance with this.1-page (500 word max) description of your achievements, including community service, leadership experience, involvement in sports or clubs, and/or work experience and how these have demonstrated your commitment to service in our community and influenced your plans for the future.1-page (500 word max) description of how receiving a West Olympia Rotary scholarship would benefit you, both financially and any other way.Please request an official transcript be emailed from your High School counselor directly to WORscholarships@. WEST OLYMPIA ROTARY SCHOLARSHIP COMMUNITY SERVICE VERIFICATION FORMPlease fill out and attach one verification form for each organization where service hours were completed._____________________ (Name of Volunteer) has completed ______ hours* of community service for ____________________ (Name of Organization), including performing the following tasks/services: *Hours must have been completed during Volunteer’s High School career.______________________________Supervisor/Lead Name (Please Print)______________________________Supervisor/Lead Signature______________________________DateWEST OLYMPIA ROTARY SCHOLARSHIP FINANCIAL INFORMATION FORMALL blank sections must be completed with amounts for application to be consideredMy estimated cost of school attendance for the 2020-2021 academic year is asfollows (Information may be obtained from your FAFSA form):FIRST CHOICE SCHOOLTuition $___________Books$___________Other fees $___________Housing* $___________ Other expenses $___________Total expenses $_______________SECOND CHOICE SCHOOLTuition $___________Books$___________Other fees $___________Housing* $___________ Other expenses $___________Total expenses $_______________*Only include out of pocket expenses if living at home.I anticipate financial help from the following sources:FIRST CHOICE SCHOOLGrant(s) $___________Scholarship(s) $___________Family $___________Student loans $___________Employment $___________Other resource $___________Total resources $________________SECOND CHOICE SCHOOLGrant(s) $___________Scholarship(s) $___________Family $___________Student loans $___________Employment $___________Other resource $___________Total resources $________________West Olympia Rotary reserves the right to verify financial information provided above.Please tell us how many scholarships you have applied for in addition to this one: ___________Please tell us how many scholarships and the total amount you have been awarded:___________, $__________ ................
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